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Questions About Therapy and Science of GID In The DSM

Started by Dawn Heart, July 04, 2012, 05:09:42 PM

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Dawn Heart

As I continue to do my own homework on why I feel the way I do, and how long I have repressed it, as I get closer to my therapy date for the first time, I found two interesting links that specifically talk about GID as a mental disorder and the stigma, denial of civil rights, etc. of trans people.

These links are below:

http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=3602

http://www.gidreform.org/

Since I have multiple issues to tackle besides working with the yet undiagnosed GID, transition, and related items, I am seeing a therapist who may or may not be trans / LGBT friendly. I DO know that the medical center the therapist works at has received awards for work in the LGBT/Trans field.

Should I have specifically sought out a therapist that deals solely with Trans issues, or do I go in there and expect the therapist to deal with each issue based on severity and priority of each issue, and expect the therapist to refer me over to an endocrinologist and other Trans relevant services?

I am aware that some advancements in protections of Trans people in the U.S. have been made, and I know that the information at the links I posted is pretty much on the same page as the other and that the one link at the Hastings Center bio forum gives some suggestions on GID reform in the DSM. My question here is this: in THIS current day and age, will a diagnosis of GID mean that I get treated like I am incapable and what are my possibilities in today's world of having the clinical nightmare experience that some have had in the past with mistreatment and so on?

Have today's clinicians become more enlightened on LGBT/Trans issues? As I read these forums in most categories, I see many people seem happy with their therapists and doctors, but I also know we all live in different places in the world. I know the place in the world where you live can make a difference, and in each place the local geography differs region by region when it comes to acceptance by professionals and community.

Luckily, I live in a state where Gender Identity and sexual orientation are a protected status as far as housing, employment, access to public buildings, public services, etc. is concerned. Are there questions I should ask the therapist before I "come out" to ensure the therapist can handle my case and ensure the therapist doesn't have any pre-conceptions, religious problems with LGBT/Trans, or other biases?

I have past experience with mental health providers who had their own archaic mind set and biases when it comes to people with mental illness in general, and some of them were people who were out to make a political name for themselves due to their connections and personal ambitions. So far, I have been falsely diagnosed with bipolar, personality disorder, and a long list of other things that would be impossible for someone to have all at one time. Perhaps some of this was just a few of these clinicians not having enough skill to diagnose properly or those who had problems picking information apart, and perhaps some of it was pure laziness coupled with a desire to find the fastest way to an insurance payment. (Pardon me patiently, please, as I am sort of freethinking at the moment)

In short, the mental health community I trusted to help stabilize me was the same community who wreaked havoc on my life at times because of their ineptitude, and willingness to let their personal beliefs and opinions to become part of their work.

I still plan on going in with an open mind, but needed to get some of these questions and thoughts out here. I am hoping to find relief for myself in the relationship with this therapist, and am going in with the intention and thought that the therapist will be professional, knowledgeable, intelligent, and compassionate.         

There's more to me than what I thought
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peky

"Have today's clinicians become more enlightened on LGBT/Trans issues?  "

No, unless they are the ones either doing research on GID, or providing services to the GID folks. So it is up to you to educate your providers.

As far as the links, well .... I could never wrap my arms around bio-ethicist, are they sociologists? Not quiet, are they psychologists? Not quiet, are they clinicians? Not really! So who are this people who write obscure and lengthy diatribes?

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Dawn Heart

I guess my questions I was trying to get out are:

1. How do therapists tend to treat trans people today?

2. What mindsets and views have most of you witnessed from therapists?

3. What should I expect from my new therapist in regards to trans identity?

4. How educated are therapists today in regards to trans issues?

5. In comparison to years ago, how has the therapy setting changed for the better in this current day?

There's more to me than what I thought
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JoanneB

The following is a composite of my experiences and my recollections of the collected knowledge of my group members and other TSs I've known.

It seems that for the most part unless the therapist is known for their knowledge of gender issues, most may have stayed awake during class if/when it was covered. Your personal knowledge of the subject may vastly exceed theirs.  If you are not near a very large city with a major TG organization and LGBT presence, odds are pretty good you will have a difficult time finding a therapist that is truly knowledgeable. The next level down are what I call the "Rubber Stampers". They do see TGs and are basically good for getting clearance letters for HRT.

The guy I see basically falls into that category. He had a couple of others from my TG group as clients. Living out in the boonies like I do my options are limited. Nor was I focused on the trans issues, primarily the rest of the baggage that came along with it. I was not and still mostly am not looking to transition to full-time. (I wasn't planing on part-time either but am that now) The really "Big Question" issues I'd like to deal with, we sort of approach sideways. To be fair, I am not the typical "I need to go full time" TS. I developed a lot of coping mechanisms over the decades

Being trans also carries a lot of other emotional damage. Body image for sure, self-esteem, loneliness, guilt etc.. When you get down to it there is no real "Treating" GID, though there are those that claim that they can cure you. If you hear that RUN! I've met a few of those so-called cured ones during a TG Rights Senate Bill hearing. If that is cured I'd rather be a big sick mother F'er!

Your best option for finding a "Friendly" is check around with local TG organizations. ("Local" in my case is 90 miles away!) I think the web site is "TS Road-Map" that has a great list of screening questions for a therapist if you have to cold-call.
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GhostTown11

Quote from: Dawn Heart on July 05, 2012, 01:45:36 AM
I guess my questions I was trying to get out are:

1. How do therapists tend to treat trans people today?

2. What mindsets and views have most of you witnessed from therapists?

3. What should I expect from my new therapist in regards to trans identity?

4. How educated are therapists today in regards to trans issues?

5. In comparison to years ago, how has the therapy setting changed for the better in this current day?

I thought it was summer brake :(...
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peky

The therapy centers around making sure that you truly have GID, helping you navigate the emotions of transitioning, and making sure that no other major psychological/psychiatric  issues linger by to spoil your transition. Once that is established, and depending in your psychological stability some monitoring during your transition may be required.

But as far as therapy for "curing" GID, well techniques have been proposed, attempted, and they all have been proved to be a total failure.



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Brooke777

If it is possible, try going to a clinic with a few Psych. Professionals in it. Clinics like this will usually screen you first to find the best therapist for you. Once you are at your first appointment, you should tell your therapist about your GID, and ask them point blank if they have any moral or religious beliefs against this, or if they will be unable/unwilling to treat you. This will provide them with an ethical way to deny you treatment without them worrying an out legal trouble, and you a way to find the best treatment.

This is just a suggestion. It is something that a lot of mental health professionals prefer.
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GhostTown11

Personally, I think GID (like most of psychology) is a crock of sh*t.


Do what you gotta do though you know?
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Dawn Heart

Thanks to each of you for your replies. I needed a place to get my thoughts and questions out, and this post served my needs well. Your replies were quite up-front, constructive, and useful. Thanks so much!
There's more to me than what I thought
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